S 17092: a prolyl endopeptidase inhibitor as a potential therapeutic drug for memory impairment. Preclinical and clinical studies

CNS Drug Rev. 2002 Spring;8(1):31-52. doi: 10.1111/j.1527-3458.2002.tb00214.x.

Abstract

Any treatment that could positively modulate central neuropeptides levels would provide a promising therapeutic approach to the treatment of cognitive deficits associated with aging and/or neurodegenerative diseases. Therefore, based on the activity in rodents, S 17092 (2S,3aS,7aS)-1][(R,R)-2-phenylcyclopropyl]carbonyl]-2-[(thiazolidin-3-yl)carbonyl]octahydro-1H-indole) has been selected as a potent inhibitor of cerebral prolyl-endopeptidase (PEP). By retarding the degradation of neuroactive peptides, S 17092 was successfully used in a variety of memory tasks. These tasks explored short-term, long-term, reference and working memory in aged mice, as well as in rodents and monkeys with chemically induced amnesia or spontaneous memory deficits. S 17092 has also been safely administered to humans, and showed a clear peripheral expression of its mechanism of action through its inhibitory effect upon PEP activity in plasma. S 17092 exhibited central effects, as evidenced by EEG recording in healthy volunteers, and could improve a delayed verbal memory task. Collectively, the preclinical and clinical effects of S 17092 have suggested a promising role for this compound as an agent for the treatment of cognitive disorders associated with cerebral aging.

Publication types

  • Review

MeSH terms

  • Aging
  • Animals
  • Cognition Disorders / chemically induced
  • Cognition Disorders / drug therapy*
  • Humans
  • Indoles / pharmacokinetics
  • Indoles / pharmacology*
  • Indoles / therapeutic use*
  • Learning / drug effects
  • Memory Disorders / chemically induced
  • Memory Disorders / drug therapy*
  • Models, Animal
  • Prolyl Oligopeptidases
  • Serine Endopeptidases / metabolism*
  • Serine Proteinase Inhibitors / pharmacokinetics
  • Serine Proteinase Inhibitors / pharmacology*
  • Serine Proteinase Inhibitors / therapeutic use*
  • Substance P / metabolism
  • Thiazoles / pharmacokinetics
  • Thiazoles / pharmacology*
  • Thiazoles / therapeutic use*
  • Thiazolidines

Substances

  • Indoles
  • S 17092-1
  • Serine Proteinase Inhibitors
  • Thiazoles
  • Thiazolidines
  • Substance P
  • Serine Endopeptidases
  • PREPL protein, human
  • Prolyl Oligopeptidases